Organization Name: | CITY OF VALDEZ |
NPI Number: | 1225151327 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEREMY O'NEIL (ADMINISTRATOR) |
Mailing Address: | 911 Meals Avenue Valdez |
State: | AK US |
Postal Code: | 99686 |
Phone Number: | 9078352838 |
Fax Number: | 9078341890 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | NOT NUMBERED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |